What are the most appropriate historical and physical examination findings consistent with the diagnosis of degenerative lumbar spondylolisthesis?
Obtaining an accurate history and physical examination is essential to the formulation of the appropriate clinical questions to guide the physician in developing a plan for the treatment of patients with degenerative lumbar spondylolisthesis. In older patients presenting with radiculopathy and neurogenic intermittent claudication, with or without back pain, a diagnosis of degenerative lumbar spondylolisthesis should be considered. Grade of Recommendation: B Diagnosing Spondylolisthesis with Imaging What are the most appropriate diagnostic tests for degenerative lumbar spondylolisthesis? The most appropriate, noninvasive test for detecting degenerative lumbar spondylolisthesis is the lateral radiograph. Grade of Recommendation: B The most appropriate, noninvasive test for imaging the stenosis accompanying degenerative lumbar spondylolisthesis is the magnetic resonance imaging (MRI). Plain myelography or computed tomography (CT) myelography are useful studies to assess spinal stenosis in
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